CARMELO HERRERO (M.D.) – Gastroenterology Physician, NPI 1619078607
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
143 GASTROENTEROLOGY in NV
Provider Addresses for CARMELO HERRERO (M.D.)
207, East Prater Way, Sparks, Washoe County, Nevada, 89431, United States
SPARKS, NV 894349634
Phone: (702) 492-1162
Type: Mailing
825 N GIBSON RD STE 201
HENDERSON, NV 890111708
Phone: (702) 492-1162
Fax: (702) 492-1319
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 179 Open Payments records for all available years, with a total value of $4,247.
Total Amount is formed as General ($4,247) + Research ($0) + Ownership ($0) = $4,247.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,254).
Total Amount
$4,247
General + Research + Ownership
Payments
179
Total payment records
General Amount
$4,247
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,254 |
| Boston Scientific Corporation | $768 |
| Janssen Biotech, Inc. | $444 |
| PFIZER INC. | $194 |
| Celgene Corporation | $178 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-05-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080515000558 | I | Gastroenterology | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 110 | 91 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 79 | 79 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 66 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 55 | 55 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 51 | 51 | $0 |
Insurance plans in this area (ZIP 89434)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NV | |
| Internal Medicine | NJ | |
| Internal Medicine | NV | |
| Family Practice | NV | |
| General Surgery | NV | |
| Family Practice | NY | |
| Internal Medicine | NV | |
| - | AZ | |
| Thoracic Surgery, Cardiac Surgery, Vascular Surgery | NV | |
| Internal Medicine | WV |
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